When not to operate in rectal cancer?

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This Congress is the premier global event in the field, encompassing malignancies affecting every component of the gastrointestinal tract and aspects related to the care of patients with gastrointestinal cancer, including screening, diagnosis and the latest management options for common and uncommon tumors. It has been endorsed by leading professional societies and organizations.
With the focus on personalized therapy, multidisciplinary management and unraveling molecular mechanisms, the World Congress will educate and update the broad range of experts who participate in the treatment of gastrointestinal cancers, providing a clear overview for treatment.
In this presentation, Dr. Gerald Beets discusses the circumstances when one should not operate in rectal cancer.

[@georgesmelki1]

Here's a summary for lay persons who have experienced personally or in their entourage a rectal cancer condition and have had the curiosity to go through some of the medical literature(whence the jargon!):
If after colonoscopy
Confirmed by scans:PET or CT
Plus MRI to give a mark
You are diagnosed with a LARC
Then you'll have to take CRT
That's Chemo-Radiotherapy
Six weeks of it, plus six weeks more
You'll have to repeat as before!
And notwithstanding cCR
You'll have to undergo a LAR
With a protective ostomy:
The pouch will leak, but don't worry
The lab will find, a little late,
That's pCR, but it's your fate!
Then the ostomy is reversed,
With open wound, which will be nursed
And, at last, you shit from your arse!
But be aware, you're stuck with LARS!

[@VonZeitler]

What is considered a “smaller tumor” ??

[@georgesmelki1]

In a nutshell: LARC>>> LAR >>>> LARS!